Individual
DENISHA ANELIS DAVILA MARENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 W GORE ST STE 403, ORLANDO, FL 32806-1049
(321) 841-3050
(321) 843-1633
Mailing address
100 W GORE ST STE 403, ORLANDO, FL 32806-1049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9120149
FL
Other
Enumeration date
04/22/2025
Last updated
07/14/2025
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